Healthcare Provider Details

I. General information

NPI: 1467662304
Provider Name (Legal Business Name): DEBBIE TOBIN R.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1310 W STEWART DR #311
ORANGE CA
92868-3854
US

IV. Provider business mailing address

1310 W STEWART DR #311
ORANGE CA
92868-3854
US

V. Phone/Fax

Practice location:
  • Phone: 714-633-0886
  • Fax: 714-633-8804
Mailing address:
  • Phone: 714-633-0886
  • Fax: 714-633-8804

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberNPF 6302
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: